Men may experience breast enlargement during puberty for various reasons. This temporary growth, which becomes permanent, is called gynecomastia. Hormonal imbalances, tumors, and medications can also cause unilateral or bilateral gynecomastia in later years. Therefore, before starting treatment, detailed examinations are necessary to determine the stage of gynecomastia.

How is the Surgery Performed?

In the first stage of gynecomastia, breast growth is limited, and there is no sagging or loose skin. If the condition is caused by fat accumulation in the breast area, the fat is removed with a vacuum (liposuction). If there is also a mammary gland in addition to fat, the tissue is removed through a small incision in the nipple and sent for pathology.

In the second stage, the breasts resemble full, female breasts, but no sagging skin is observed. The surgery is performed in the same manner in this stage. In the third stage, sagging skin has occurred, and surgical procedures are performed to remove the excess skin. In cases where the skin is elastic, the operation is performed through the nipple. However, in older adults, when the skin has lost its elasticity, a crescent-shaped incision is made below the nipple, and excess tissue is removed. The operation takes approximately one hour, and the patient is discharged the same day.

What is the Treatment Duration?

Today, liposuction alone is sufficient for approximately 80% of gynecomastia surgeries, and the patient can ambulate immediately afterward. The remaining 20% of patients undergo open surgery.

Following this procedure, a drain is placed in the surgical area for 24 to 48 hours to prevent blood and fluid accumulation. A special corset is worn to maintain pressure on the surgical area. This corset, with an open crotch, is very easy to use and can be worn continuously for one week. It is recommended that the corset be worn for five weeks, including during strenuous activity. Post-operative swelling, tenderness, and bruising begin to subside within 2-3 days. Occasional tenderness, numbness, stinging, and burning sensations may occur. After the second week, you can swim in the pool or sea, but you should avoid activities that may cause swelling, such as solariums and saunas, and heavy sports for 6 weeks.